Eating disorders symptoms and associated risk factors among medical students in France: a nationwide cross-sectional study | Journal of Eating Disorders

  • Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214–36. https://doi.org/10.1001/jama.2016.17324.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Wang J, Fitzke RE, Tran DD, Grell J, Pedersen ER. Mental health treatment-seeking behaviors in medical students: a mixed-methods approach. J Med Access. 2023;15(7):27550834221147788. https://doi.org/10.1177/27550834221147787.

    Article 

    Google Scholar 

  • Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, et al. The global prevalence of anxiety among medical students: a meta-analysis. Int J Environ Res Public Health. 2019;16(15):2735. https://doi.org/10.3390/ijerph16152735.

    Article 
    PubMed 

    Google Scholar 

  • Tavolacci MP, Ladner J, Dechelotte P. COVID-19 pandemic and eating disorders among university students. Nutrients. 2021;13(12):4294. https://doi.org/10.3390/nu13124294.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Pacanowski CR, Skubisz C, Borton D, Ryding R. Prevalence and correlates of disordered eating at a large state university before and after the onset of the COVID-19 pandemic. J Eat Disord. 2024;12(1):153. https://doi.org/10.1186/s40337-024-01056-2.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Galmiche M, Déchelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. Am J Clin Nutr. 2019;109(5):1402–13. https://doi.org/10.1093/ajcn/nqy342.

    Article 
    PubMed 

    Google Scholar 

  • Andreeva VA, Tavolacci MP, Galan P, Ladner J, Buscail C, Péneau S, et al. Sociodemographic correlates of eating disorder subtypes among men and women in France, with a focus on age. J Epidemiol Community Health. 2019;73(1):56–64. https://doi.org/10.1136/jech-2018-210745.

    Article 
    PubMed 

    Google Scholar 

  • Fekih-Romdhane F, Daher-Nashif S, Alhuwailah AH, Al Gahtani HMS, Hubail SA, Shuwiekh HAM, Khudhair MF, Alhaj OA, Bragazzi NL, Jahrami H. The prevalence of feeding and eating disorders symptomology in medical students: an updated systematic review, meta-analysis, and meta-regression. Eat Weight Disord. 2022 Aug;27(6):1991–2010. https://doi.org/10.1007/s40519-021-01351-w.

  • Rolland F, Hadouiri N, Haas-Jordache A, Gouy E, Mathieu L, Goulard A, Morvan Y, Frajerman A. Mental health and working conditions among French medical students: A nationwide study. J Affect Disord. 2022 Jun 1;306:124–130. https://doi.org/10.1016/j.jad.2022.03.001. Epub 2022 Mar 8. Erratum in: J Affect Disord. 2022 Jul 1;308:623–624. https://doi.org/10.1016/j.jad.2022.04.017. Erratum in: J Affect Disord. 2023 Feb 15;323:901–902. https://doi.org/10.1016/j.jad.2022.12.046.

  • Munn-Chernoff MA, Few LR, Matherne CE, Baker JH, Men VY, McCutcheon VV, Agrawal A, Bucholz KK, Madden PAF, Heath AC, Duncan AE. Eating disorders in a community-based sample of women with alcohol use disorder and nicotine dependence. Drug Alcohol Depend. 2020 Jul 1;212:107981. https://doi.org/10.1016/j.drugalcdep.2020.107981. Epub 2020 Apr 25.

  • Galmiche M, Godefroy C, Achamrah N, Grigioni S, Colange G, Folope V, et al. Mental health and health behaviours among patients with eating disorders: a case-control study in France. J Eat Disord. 2022;10(1):160. https://doi.org/10.1186/s40337-022-00691-x.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Lamberti M, Napolitano F, Napolitano P, Arnese A, Crispino V, Panariello G, et al. Prevalence of alcohol use disorders among under- and post-graduate healthcare students in Italy. PLoS ONE. 2017;12:e0175719.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Tavolacci MP, Delay J, Grigioni S, Déchelotte P, Ladner J. Changes and specificities in health behaviors among healthcare students over an 8-year period. PLoS ONE. 2018;13(3):e0194188. https://doi.org/10.1371/journal.pone.0194188.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Madowitz J, Matheson BE, Liang J. The relationship between eating disorders and sexual trauma. Eat Weight Disord. 2015;20(3):281–93. https://doi.org/10.1007/s40519-015-0195-y.

    Article 
    PubMed 

    Google Scholar 

  • Tavolacci MP, Karmaly A, El Gharbi-Hamza N, Veber B, Ladner J. Gender-based violence among healthcare students: Prevalence, description and associated factors. PLoS ONE. 2023;18(11):e0288855. https://doi.org/10.1371/journal.pone.0288855.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Abaatyo J, Sodeinde SO, Kaggwa MM. Eating disorders among medical students at a private university in Uganda: a cross-sectional study. J Eat Disord. 2025;13(1):56. https://doi.org/10.1186/s40337-025-01234-w.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Bray B, Bray C, Bradley R, Zwickey H. Binge eating disorder is a social justice issue: a cross-sectional mixed-methods study of binge eating disorder experts’ opinions. Int J Environ Res Public Health. 2022;19(10):6243. https://doi.org/10.3390/ijerph19106243.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Wesslund HM, Payne JS, Baxter JD, Westmark DM, Bartels K, Bailey KL, et al. Personal financial wellness curricula for medical trainees: a systematic review. Acad Med. 2023;98(5):636–43. https://doi.org/10.1097/ACM.0000000000005136.

    Article 
    PubMed 

    Google Scholar 

  • Garcia FD, Grigioni S, Allais E, Houy-Durand E, Thibaut F, Déchelotte P. Detection of eating disorders in patients: validity and reliability of the French version of the SCOFF questionnaire. Clin Nutr. 2011;30(2):178–81. https://doi.org/10.1016/j.clnu.2010.09.007.

    Article 
    PubMed 

    Google Scholar 

  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x.

    Article 
    PubMed 

    Google Scholar 

  • Herrmann C. International experiences with the hospital anxiety and depression scale–a review of validation data and clinical results. J Psychosom Res. 1997;42(1):17–41. https://doi.org/10.1016/s0022-3999(96)00216-4.

    Article 
    PubMed 

    Google Scholar 

  • Gache P, Michaud P, Landry U, Accietto C, Arfaoui S, Wenger O, et al. The alcohol use disorders identification test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version. Alcohol Clin Exp Res. 2005;29(11):2001–7. https://doi.org/10.1097/01.alc.0000187034.58955.64.

    Article 
    PubMed 

    Google Scholar 

  • Tavolacci MP, Grigioni S, Richard L, Meyrignac G, Déchelotte P, Ladner J. Eating Disorders and Associated Health Risks Among University Students. J Nutr Educ Behav. 2015 Sep-Oct;47(5):412–20.e1. https://doi.org/10.1016/j.jneb.2015.06.009.

  • Nagata JM, Ganson KT, Austin SB. Emerging trends in eating disorders among sexual and gender minorities. Curr Opin Psychiatry. 2020;33(6):562–7. https://doi.org/10.1097/YCO.0000000000000645.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Campbell L, Viswanadhan K, Lois B, Dundas M. Emerging evidence: a systematic literature review of disordered eating among transgender and nonbinary youth. J Adolesc Health. 2024;74(1):18–27. https://doi.org/10.1016/j.jadohealth.2023.07.027.

    Article 
    PubMed 

    Google Scholar 

  • Kramer R, Aarnio-Peterson CM, Conard LA, Lenz KR, Matthews A. Eating disorder symptoms among transgender and gender diverse youth. Clin Child Psychol Psychiatry. 2024 Jan;29(1):30–44. https://doi.org/10.1177/13591045231184917.

  • Simone M, Hazzard VM, Askew AJ, Tebbe EA, Lipson SK, Pisetsky EM. Variability in eating disorder risk and diagnosis in transgender and gender diverse college students. Ann Epidemiol. 2022 Jun;70:53–60. https://doi.org/10.1016/j.annepidem.2022.04.007.

  • Simone M, Askew A, Lust K, Eisenberg ME, Pisetsky EM. Disparities in self-reported eating disorders and academic impairment in sexual and gender minority college students relative to their heterosexual and cisgender peers. Int J Eat Disord. 2020 Apr;53(4):513–524. https://doi.org/10.1002/eat.23226.

  • Jahrami H, Sater M, Abdulla A, Faris MA, AlAnsari A. Eating disorders risk among medical students: a global systematic review and meta-analysis. Eat Weight Disord. 2019;24(3):397–410. https://doi.org/10.1007/s40519-018-0516-z.

    Article 
    PubMed 

    Google Scholar 

  • Birmingham WC, Wadsworth LL, Lassetter JH, Graff TC, Lauren E, Hung M. COVID-19 lockdown: impact on college students’ lives. J Am Coll Health. 2023;71(3):879–93. https://doi.org/10.1080/07448481.2021.1909041.

    Article 
    PubMed 

    Google Scholar 

  • Brewerton TD. Eating disorders, trauma, and comorbidity: focus on PTSD. Eat Disord. 2007 Jul-Sep;15(4):285–304. https://doi.org/10.1080/10640260701454311.

  • Rapport de la Mission interministérielle sur les violences sexistes et sexuelles sous relation d’autorité ou de pouvoir, Septembre 2024

  • Association des Etudiants en Médecine de France (ANEMF) Enquête sur les violences sexistes et sexuelles chez les étudiants en médecine 2021 https://anemf.org/iss/enquete-sur-les-vss/

  • Barbanti PCM, Oliveira SRL, de Medeiros AE, Bitencourt MR, Victorino SVZ, Bitencourt MR, et al. Prevalence and impact of academic violence in medical education. Int J Environ Res Public Health. 2022;19(18):11519. https://doi.org/10.3390/ijerph191811519.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Peng P, Hao Y, Liu Y, Chen S, Wang Y, Yang Q, Wang X, Li M, Wang Y, He L, Wang Q, Ma Y, He H, Zhou Y, Wu Q, Liu T. The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2023 Jan 15;321:167–181. https://doi.org/10.1016/j.jad.2022.10.040.

  • Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214–36. https://doi.org/10.1001/jama.2016.17324.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Paiva U, Cortese S, Flor M, Moncada-Parra A, Lecumberri A, Eudave L, et al. Prevalence of mental disorder symptoms among university students: an umbrella review. Neurosci Biobehav Rev. 2025;175:106244. https://doi.org/10.1016/j.neubiorev.2025.106244.

    Article 
    PubMed 

    Google Scholar 

  • Römhild A, Hollederer A. Predicting the deviation from the standard study period and dropout intentions through depression severity and social integration among university students in Germany: a longitudinal analysis. Int J Environ Res Public Health. 2025;22(5):667. https://doi.org/10.3390/ijerph22050667.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Mauduy M, Maurage P, Mauny N, Pitel AL, Beaunieux H, Mange J. Predictors of alcohol use disorder risk in young adults: direct and indirect psychological paths through binge drinking. PLoS ONE. 2025;20(5):e0321974. https://doi.org/10.1371/journal.pone.0321974.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Folivi F, Bravo AJ, Pearson MR. Mindfulness Profiles and Substance Use Outcomes in University Students: The Role of Alcohol and Cannabis Use Motives. Mindfulness (N Y). 2025;16(4):1046–1060. https://doi.org/10.1007/s12671-025-02544-5.

  • Tavolacci MP, Déchelotte P, Ladner J. Eating disorders among college students in France: characteristics, help-and care-seeking. Int J Environ Res Public Health. 2020;17(16):5914. https://doi.org/10.3390/ijerph17165914.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Chew-Graham CA, Rogers A, Yassin N. “I wouldn’t want it on my CV or their records”: medical students’ experiences of help-seeking for mental health problems. Med Educ. 2003;37(10):873–80. https://doi.org/10.1046/j.1365-2923.2003.01627.x.

    Article 
    PubMed 

    Google Scholar 

  • Winter RI, Patel R, Norman RI. A Qualitative Exploration of the Help-Seeking Behaviors of Students Who Experience Psychological Distress Around Assessment at Medical School. Acad Psychiatry. 2017 Aug;41(4):477–485. https://doi.org/10.1007/s40596-017-0701-9.

  • Berliant M, Rahman N, Mattice C, Bhatt C, Haykal KA. -Barriers faced by medical students in seeking mental healthcare: A scoping review. MedEdPublish (2016). 2022 Nov 16;12:70. https://doi.org/10.12688/mep.19115.1.

  • Markey CH, August KJ, Rosenbaum DL, Gillen MM, Malik D, Pillarisetty S. An exploratory examination of medical and nursing students’ intentions to discuss body image, weight, and eating disorders with their patients. J Eat Disord. 2024;12(1):159. https://doi.org/10.1186/s40337-024-01119-4.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

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